| NPI | 1407667082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QINGQING MAO Cto 415-805-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-12-19 |